Improvement of the efficacy of vascularized lymph node transfer for lower-extremity lymphedema via a prefabricated lympho-venous shunt through lymphaticovenular anastomosis between the efferent lymphatic vessel and small vein in the elevated vascularized

Microsurgery ◽  
2017 ◽  
Vol 38 (3) ◽  
pp. 270-277 ◽  
Author(s):  
Shinsuke Akita ◽  
Yoshihisa Yamaji ◽  
Hideki Tokumoto ◽  
Yoshitaro Sasahara ◽  
Yoshitaka Kubota ◽  
...  
2019 ◽  
Vol 17 (6) ◽  
pp. 637-646
Author(s):  
Ram M. Chilgar ◽  
Sujit Khade ◽  
Hung-Chi Chen ◽  
Pedro Ciudad ◽  
Matthew Sze-Wei Yeo ◽  
...  

2017 ◽  
Vol 44 (1) ◽  
pp. 87-89 ◽  
Author(s):  
Pedro Ciudad ◽  
Shivprasad Date ◽  
Oscar J Manrique ◽  
Wei-Ling Chang ◽  
Tsung-Chun Huang ◽  
...  

2021 ◽  
Author(s):  
Kyung-Chul Moon ◽  
In-Jae Yoon

Abstract BackgroundVarious surgical options are available to treat lymphedema, such as direct excisional debulking surgery, suction-assisted lipectomy debulking, lymphovenous anastomosis (LVA), and vascularized lymph node transplantation (VLNT). However, no studies have addressed simultaneous surgery with both LVA and VLNT for patients with advanced-stage lymphedema. Case Presentation A 72-year-old female with bilateral lower extremity lymphedema refractory to nonsurgical management was admitted to our lymphedema clinic. This patient had a history of lymphoma and treated with radiotherapy on right inguinal area 26 years ago. Interestingly, the patient developed lymphedema on both the right and left lower extremities although she had radiotherapy on her right inguinal area. The patient underwent simultaneous vascularized lymph node transfer and lymphovenous anastomosis for treatment of end-stage lymphedema. Significant reduction in circumference and volume of lower extremity was achieved following simultaneous vascularized lymph node transfer and lymphonvenous anastomosis Conclusion The authors recommend simultaneous VLNT and LVA surgeries as the first treatment option for patients with end-stage lymphedema.


Microsurgery ◽  
2020 ◽  
Vol 40 (2) ◽  
pp. 130-136 ◽  
Author(s):  
Pedro Ciudad ◽  
Oscar J. Manrique ◽  
Samyd S. Bustos ◽  
John J. P. Coca ◽  
Chang‐Cheng Chang ◽  
...  

2016 ◽  
Vol 115 (1) ◽  
pp. 78-83
Author(s):  
Hari Venkatramani ◽  
Senthil Kumaran ◽  
Shivannaiah Chethan ◽  
Shanmuganathan Raja Sabapathy

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